JPWO2008007496A1 - Medical information management system, terminal device used therefor, medical information management program, program for terminal device - Google Patents

Abstract

A project management system and a program for a project management system for efficiently supporting the construction and management of a project are provided in consideration of the relationship between actions executed in project management. For example, an electronic medical chart management center device (10) that manages information on medical practice performed at a medical site and a plurality of terminal devices (20) used by a user are connected via a network (30). In the management system 1, the electronic medical record management center device (10) has linkage information for linking to other medical practices for each medical practice, and the terminal device (20) has a relationship between medical practices based on linkage information. An electronic medical record is generated in consideration of the above.

Description

  The present invention relates to a project management system for performing project management in various fields, and a project management center device, a terminal device, a program for a project management center device, a program for a terminal device, and an electronic medical record management system used therefor.

  Conventionally, applications for performing project management in various fields have been developed and used.

  In the medical field, management of a patient's treatment plan with an electronic medical record is performed.

  Although this electronic medical record has the advantage of not taking up data storage space compared to the medical record written on paper, the treatment plan to be entered is made at the discretion of the doctor, so it is the same as when using a paper medical record There is a lot of dependence on doctors' discretion and skills.

  Therefore, there remains a problem that there is a possibility that there is a part where the treatment plan is different for each doctor or inefficient treatment is performed.

  In recent years, in particular, medical technology has become more sophisticated and complicated, and it has become difficult to make the best treatment plan only by the judgment of a doctor.

  In order to solve this problem and to provide efficient treatment while ensuring the quality of medical care, a tool that summarizes medical information called clinical path in a schedule table as shown in Japanese Patent Application No. 2003-108661 Has been developed.

  This clinical path standardizes hospitalization / treatment schedules according to each disease, and summarizes treatment, examination, guidance, examination, etc. schedules for patients with certain diseases along the time axis.

  By introducing a clinical path, doctors can grasp the treatment plan efficiently and can share information on treatment plans with nurses and other medical staff involved in treatment, thereby improving the quality of medical treatment. There is an advantage of being able to plan.

  In the technology described in Japanese Patent No. 2706645 and Japanese Patent No. 2815346, various types of information related to medical practices that have already been executed and future medical practices are stored for each date or date and time. These various types of information can be displayed on a table arranged on a date basis or on a time axis.

  By using this technology, various information about patients can be understood at a glance, and information can be shared with medical staff involved in treatment, and each medical staff can input data, etc. The plan can be changed as appropriate.

  However, these side-by-side medical practices are not really only meaningful by themselves, they are subordinate to past treatments or administered drugs, or are to be performed. In many cases, such as when the drugs to be administered thereafter are limited only within a certain period of time, it is often done in a subordinate or exclusive relationship with other actions based on the time axis. Become.

  In the techniques of Japanese Patent Application Publication No. 2003-108661, Japanese Patent No. 2706645, and Japanese Patent No. 2815346, treatment plans are displayed within the medical staff by displaying individual medical actions on the time axis. However, there is a problem that the relationship between the medical practices as described above is not taken into consideration.

  This problem applies to other project management systems as well, and it is important not only to input individual action information that constitutes a project, but also to correlate individual action information. Project management with higher accuracy can be performed by determining whether it is better to execute together or not to execute together.

  However, in a conventional project management system, different types of action information are programmed separately, such as a program related to project management executed and a program related to accounting management, and the correlation between these pieces of information is defined. It was difficult for the end user to do because it had to be executed at the program level.

  Accordingly, an object of the present invention is to provide a project management system for efficiently supporting the construction and management of a project in consideration of the relationship between actions executed in project management, and a project management center device and terminal device used therefor And a project management center device program, a terminal device program, and an electronic medical record management system.

  In the project management system of the present invention, the project management center device used in the project management device, the terminal device, the program for the project management center device, the program for the terminal device, and the electronic medical record management system, all information constituting the project is time information, respectively. Build in a common structure with

  All information about actions includes information about time, even if it appears to be a different kind of information at first glance. For example, in the medical field, information on allergies includes information on the time of whether you are allergic at present or in the past, and information on prescriptions for drugs Information about time, such as how many days ago or how many hours ago.

  In the present invention, the correlation between individual action information can be defined by constructing the individual action information constituting the project with a structure having a common parameter based on this time information. In the medical field, it is possible to detect the relationship between all actions such as medical treatment, prescription of medicine, accounting management, staffing of nurses, hospitalization management, school lunch management, etc., and manage the project ubiquitously. .

  The project management system according to claim 1 of the present invention manages information related to actions executed in a project on a time axis. For each of the executed actions, an own action and another action are included. An action information storage unit configured to record a plurality of action information including at least linkage information including application conditions for having relevance, and a selection from the plurality of action information stored in the action information storage unit An action information acquisition unit configured to acquire the action information obtained, and time axis information, and the action information acquired by the action information acquisition unit is placed on the time axis information based on an instruction from the outside The link information included in the action information between the action information arrangement unit configured to be arranged and the action information arranged on the time axis information by the action information arrangement unit. An action information detection unit configured to mutually detect other action information to which the information is applied, and an output configured to generate output information based on a result of detection processing performed in the action information detection unit And an information generation unit.

  Further, in the project management system according to claim 1, in the project management system according to claim 1, the action information stored in the action information storage unit includes self-act characteristic information including information related to characteristics of the act itself, and the self-act characteristic Self-action information composed of self-action logic information consisting of application conditions for performing processing based on information, and the output information generation unit is arranged to perform the action information arranged on the time axis information When the application condition of the self-action logic information is applied, output information is generated based on the self-action characteristic information.

  Further, in the project management system according to claim 1 or 2, in the project management system according to claim 1 or 2, the action information stored in the action information storage unit includes a generation processing order when output information is generated in the output information generation unit. And generation processing control information for controlling the generation processing conditions, and the output information processing unit performs the generation processing in the generation processing order and the generation processing conditions controlled based on the generation processing control information. It is characterized by.

  Further, according to a fourth aspect of the present invention, in the project management system according to any one of the first to third aspects, the content of the output information generation process in the output information processing unit is already added with information on other actions. It includes at least one of deletion of information on a certain action, generation of warning information, or generation of a related information browsing screen.

  Further, Claim 5 is the project management system according to any one of Claims 1 to 4, wherein the action executed in the project is at least a medical action, a personnel management action, a necessary goods procurement action, or an accounting implementation action. It is either.

  In addition, the project management center apparatus according to claim 6 manages information related to actions executed in a project, and for each of the executed actions, the own action and other actions are related. An action information storage unit configured to record a plurality of action information including at least linkage information consisting of application conditions, and configured to record the project information created by arranging the action information on time axis information. And a project information recording unit.

  In addition, in the project management center apparatus according to claim 6, the action information stored in the action information storage unit includes self-acting characteristic information including information on characteristics of the act itself, It further includes self-action information including self-action logic information configured by application conditions for performing processing generated based on the self-action characteristic information.

  Further, in the project management center device according to claim 8, the linkage information is applied between the action information arranged in the time axis information to the action information stored in the action information storage unit. Output information generated based on the result of detecting other action information to be detected, and the self action when the application condition of the self action logic information of the action information arranged in the time axis information is applied It further includes generation process control information for controlling a generation process order and generation process conditions of a plurality of pieces of output information including at least one of output information generated based on the characteristic information.

  The terminal device according to claim 9 is used by a user connected via a network to a project management center device that manages project information related to an action executed in a project, and the project management center device Actions selected from a plurality of action information including at least linkage information that is composed of application conditions for relevance between the own action and other actions for each of the executed actions recorded in An action information acquisition unit configured to acquire information via the network, and time axis information, and the action information acquired by the action information acquisition unit based on an instruction from the outside An action information arrangement unit configured to be arranged on each of the lines, and the rows arranged on the time axis information by the action information arrangement unit Among the information, the action information detection unit configured to mutually detect other action information to which the linkage information included in the action information is applied, and the result of the detection processing performed in the action information detection unit And an output information generation unit configured to generate output information based on the output information.

  Further, in the terminal device according to claim 9, in the terminal device according to claim 9, the action information acquired by the action information acquisition unit includes self-acting characteristic information including information on characteristics of the act itself, and the self-acting Self-action information including self-action logic information configured by application conditions for performing processing that occurs based on characteristic information, and the output information generation unit is configured to perform the action arranged on the time axis information When the application condition of the self-action logic information of information is applied, output information is generated based on the self-action characteristic information.

  In addition, in the terminal device according to claim 9 or 10, the action information acquired by the action information acquisition unit includes a generation processing order when output information is generated by the output information generation unit, and Generation processing control information for controlling generation processing conditions, and the output information generation unit performs the generation processing in a generation processing order and generation processing conditions controlled based on the generation processing control information. Features.

  Further, according to claim 12, in the terminal device according to any one of claims 9 to 11, the content of the output information generation process in the output information generation unit is already arranged by adding information of another action. It includes at least one of deletion of action information, generation of warning information, or generation of a related information browsing screen.

  Further, according to a thirteenth aspect of the present invention, in the terminal device according to any one of the ninth to twelfth aspects, at least one of a medical act, a personnel management act, a necessary goods procurement act, or an accounting implementation act is performed as the act executed in the project. It contains two pieces of information.

  Further, according to a fourteenth aspect of the present invention, in the terminal device according to any one of the ninth to thirteenth aspects, a temporary storage unit configured to store project information configured by arranging the action information on the time axis information. It further has these.

  Further, the program for a project management center apparatus according to claim 15 is configured so that a project management center apparatus that manages project information related to an action executed in a project includes, for each of the executed actions, an own action and other actions. An action information storage function for recording a plurality of action information including at least linkage information constituted by application conditions for having relevance, and the project information created by arranging the action information on a time axis It is characterized by realizing the project recording function.

  The program for a terminal device according to claim 16 is connected to a project management center device connected to a project management center device that manages information on actions executed in a project via a network. Selected from a plurality of action information recorded at the device, including at least linkage information composed of application conditions for relevance between the own action and another action for each of the executed actions Action information acquisition function for acquiring action information via the network, and time axis information, and the action information acquired by the action information acquisition function on the time axis information based on instructions from the outside, respectively Between the action information arrangement function to be arranged and the action information arranged on the time axis information by the information arrangement function, the action information An action information detection function for mutually detecting other action information to which the linkage information included is applied, and an output information generation function for generating output information based on a result of detection processing performed by the action information detection function; It is characterized by realizing.

  In addition, in the terminal device program according to claim 16, the action information acquired by the action information acquisition function includes self-acting characteristic information including information related to characteristics of the act itself, Self-action information comprising self-action logic information configured with application conditions for performing processing that occurs based on the self-action characteristic information is further included, and the output information generation function is arranged on the time axis information When application conditions of the self-action logic information of the action information are applied, output information is generated based on the self-action characteristic information.

  Further, according to claim 18, in the terminal device program according to claim 16 or 17, the action information acquired by the action information acquisition function includes generation processing when output information is generated by the output information generation function. The output information processing unit further includes generation processing control information for controlling the order and the generation processing conditions, and the output information processing unit performs the generation processing with the generation processing order and the generation processing conditions controlled based on the generation processing control information. It is characterized by that.

  Further, according to claim 19, in the terminal device program according to any one of claims 16 to 18, the content of the output information generation processing by the output information generation function is already arranged by adding information of other actions. It includes at least one of deletion of information on an action being performed, generation of warning information, or generation of a related information browsing screen.

  In addition, in the terminal device program according to any one of claims 16 to 19, the claim 20 includes a medical act, a personnel management act, a necessary goods procurement act, or an accounting implementation act as the act executed in the project. It includes at least one piece of information.

  Further, according to claim 21, in the terminal device program according to any one of claims 16 to 20, a temporary storage function for storing project information generated by arranging the action information on the time axis information is further provided. It is characterized by having.

  The electronic medical chart management system according to claim 22 is an electronic medical chart management system that manages information related to medical practice on a time axis. For each medical practice, the medical practice and the other medical practice are related to each other. A medical practice information storage unit configured to record a plurality of medical practice information including at least linkage information configured by application conditions, and a plurality of the medical practice information stored in the medical practice information storage unit. The medical practice information acquisition unit configured to acquire the selected medical practice information and the time axis information, and the medical practice information acquired by the medical practice information acquisition unit is used as an instruction from the outside Based on the medical practice placement unit configured to be placed on the time axis information on the basis of, and the medical practice information placed on the time axis information by the medical practice placement unit In the medical practice information detection unit configured to mutually detect other medical practice information to which the linkage information included in the medical practice information is applied, and the medical practice information detection unit was subjected to detection processing. And an output information generation unit configured to generate output information based on the result.

  Therefore, according to the project management system of the present invention, and the project management center device and terminal device used therefor, the program for the project management center device, the program for the terminal device, and the electronic medical record management system, the mutual actions performed in the project management Considering the relationship between them, it is possible to efficiently support the construction and management of projects.

It is a block diagram which shows the structure of the electronic medical record management system as a project management system by 1st Embodiment of this invention. It is explanatory drawing which shows the structure of COA utilized with the project management system by 1st Embodiment and 3rd Embodiment of this invention. It is explanatory drawing which shows the position of the information of COA on the time-axis of the project management system by 1st Embodiment of this invention and 3rd Embodiment. It is a flowchart which shows operation | movement of the electronic medical record management system as a project management system by 1st Embodiment of this invention. It is explanatory drawing which shows the position of the information of several COA on the time-axis of the electronic medical record management system as a project management system by 1st Embodiment of this invention. It is explanatory drawing which shows the relationship between the information of COA utilized with the project management system by 1st Embodiment, 3rd Embodiment, and 4th Embodiment of this invention. It is explanatory drawing which shows the relationship between the information of COA utilized with the project management system by 2nd Embodiment of this invention. It is explanatory drawing which shows the position of the information of several COA on the time-axis of the electronic medical record management system as a project management system by 3rd Embodiment of this invention. It is a block diagram which shows the structure of the manufacturing process management system as a project management system by 4th Embodiment of this invention. It is a flowchart which shows operation | movement of the manufacturing process management system as a project management system by 4th Embodiment of this invention. It is explanatory drawing which shows the position of the information of several COA on the time-axis of the manufacturing process management system as a project management system by 4th Embodiment of this invention.

<< Electronic Medical Record Management System as First Embodiment of Project Management System >>
As a first embodiment of the project management system of the present invention, an electronic medical record management system for managing a treatment plan in the medical field will be described.

<Basic concept>
In the electronic medical record management system of this embodiment, various types of medical practice are individually defined as “acts” and managed.

  These individual acts have information (Core of Act, hereinafter referred to as “COA”) as the core of the act. Each COA stores the relationship with other actions defined based on the time axis.

  Act types include “observation”, “prescription”, “injection”, “school lunch”, etc., for example, “inspection” must be performed after a predetermined period of time has elapsed since the “injection”. There is individual information related to other medical practices based on the time axis.

  Information other than medical practice, such as “symptom” information, is also a COA that is generated based on an act of “observation”, and such information (symptom) is held as a COA of “observation”. “Age”, “sex”, and the like are also COAs generated as a result of the act of “observation”, and each patient for whom an electronic medical record is created is regarded as an aggregate of these multiple COAs.

  That is, all information is held as a COA of some medical action (act).

  Based on this idea, in the electronic medical record management system of the present embodiment, the COA having information based on the time axis is linked to each other in the data structure that already has the time axis of the electronic medical record, and the accuracy is improved. Support the management of high medical information.

<Configuration of Electronic Medical Record Management System as First Embodiment>
The configuration of the electronic medical record management system 1 in the present embodiment will be described with reference to FIG.

  The electronic medical record management system 1 in the present embodiment is configured by connecting an electronic medical record management center device 10 as a project management center device and a plurality of terminal devices 20 via a network 30.

[Electronic medical record management center 10]
The electronic medical record management center device 10 includes a COA information storage device 11 as action information storage means, an electronic medical record recording device 12 as project recording means, and a communication unit 13 that communicates with an external terminal device 20 via a network 30. And a communication unit 14, a processing unit 15 that acquires data from the COA information storage device 11, and a processing unit 16 that performs processing for acquiring data from the electronic medical record recording device 12 and processing for recording in the electronic medical record recording device 12. .

  The COA information storage device 11 stores COAs relating to various acts inputted in advance.

  The electronic medical record recorder 12 records data generated as an electronic medical record using the COA.

  The processing unit 15 reads data from the COA information storage device 11 according to a request acquired from the terminal device 20 via the communication unit 13 and outputs the data to the terminal device 20 via the communication unit 14.

  The processing unit 16 reads data from the electronic medical record recording device 12 and outputs the data to the terminal device 20 via the communication unit 14 in accordance with a request acquired from the terminal device 20 via the communication unit 14. In addition, the electronic medical record data acquired from the terminal device 20 via the communication unit 14 is recorded in the electronic medical record recording device 12.

-Configuration of COA-
Information constituting each COA stored in the COA information storage device 11 will be described with reference to FIG.

  Each COA includes (1) an act information layer 100, (2) an act operation layer 200, (3) an output layer 300, and (4) a management layer 400.

(1) Act information layer 100
The act information layer 100 includes (i) self-act information 110 as self-actual information that is information related to the self-act, and (ii) linkage act information 120 as linkage information that is information for linking with other COAs. Have

(I) Self-act information 110
The self-act information 110 further includes a self-act characteristic 111 as self-act characteristic information and a self-act logic 112 as self-action logic information. The self-act characteristic 111 includes a self-act name 111a (formal name, Alias, provisional name, etc.), classification 111b (major classification, medium classification, minor classification, etc.), related ID 111c (identification ID for linking to other COA corresponding to name 111a), knowledge 111d (quantity related to own act) Speed, units, scientific knowledge and know-how).

  Examples of the classification 111b include “motion act” and “logical act” as major classifications, and “observation act” and “intervention act” as middle classifications of “motion act”. In addition, there are “history”, “symptom”, “findings”, etc. as subcategories of “observation act”, and “specimen test”, “imaging test”, “physiological test”, “prescription” ”,“ Injection ”,“ treatment ”,“ entrance / exit ”,“ school lunch ”, and the like. In addition, as a subcategory of “logically act”, there are “data generation by combination of inspection results”, “prescription;

  The self-act logic 112 stores information such as an amount calculation method, an appropriate dose range, a symptom evaluation method, unit conversion, and a display method when executing the self-act.

(Ii) Linkage act information 120
The linkage act information 120 includes a linkage act characteristic 121 and a linkage act logic 122. The linkage act characteristic 121 stores information on other relevant COAs, and the linkage act logic 122 stores the linkage act characteristic 122. Based on the information 121, an application time when linking with another COA, a logical expression indicating an application range, a conditional expression by logical product, a logical flow, and the like are stored.

(2) Act action layer 200
The act operation layer 200 stores logical control information between operations when executing processing based on the self-act logic 112 and the linkage act logic 122, for example, the execution order and conditional expressions.

(3) Output layer 300
The output layer 300 includes a state 300a related to the operation of its own COA (assuming, planning, implementation decision, preparation, implementation, result, etc.), evaluation 300b (success, failure, etc.), result 300c (observation result, implementation result, graphic) , Slip / prescription generation, etc.), information such as intervention 300d for other COA is stored.

(4) Management layer 400
The management layer 400 stores a management ID group 400a for managing each COA, a management name 400b, a copyright 400c using each COA as a copyrighted work, and version information 400d such as the date of writing and the date of update. ing.

  FIG. 3 shows the application range of information on the time axis of each COA. Each COA can have a plurality of linkage act information 120. In the COA of FIG. 3, the COA has three linkage acts 120-1 to 120-3.

  In FIG. 3, linkage act information 120-1 is information that is applied after a predetermined time has elapsed since the execution of medical practice using self-act information 110, and linkage act information 120-2 is applied simultaneously with the execution of medical practice using self-act information 110. Linkage act information 120-3 is information applied from the end of the medical practice by the self-act information 110.

[Terminal device 20]
The terminal device 20 is used by a doctor, and performs processing such as an input device 21 operated by the user, a storage device 22 that stores an application for using the electronic medical record management system, and creation and update of the electronic medical record. A processing unit 23 that performs communication, a communication unit 24 that communicates with the electronic medical record management center 10 via a network, a display device 25 that displays information being operated, and a temporary storage device 26 that temporarily stores information. Have.

  The input device 21 is, for example, a mouse or a keyboard.

  The storage device 22 is constituted by a ROM, for example.

  The processing unit 23 acquires information recorded in the COA information storage device 11 or the electronic medical record recording device 12 of the electronic medical record management center device 10 via the communication unit 24 and also acquires an operation instruction from the input device 21. Calculation processing such as contradiction between COAs and prescription amount calculation is performed.

  The display device 25 is, for example, a monitor connected to a personal computer incorporating the functions of the storage device 22, the processing unit 23, the communication unit 24, and the temporary storage device 26.

  The temporary storage device 26 temporarily stores information acquired from the electronic medical record management center device 10 and information processed by the processing unit 23, and enables use of the electronic medical record within a limited range even in an environment where the network cannot be used. Is.

  In the electronic medical chart management system 1 configured as described above, each COA stores dependent / exclusive action information applied by linking with another COA based on the time axis information. It is possible to correlate the COA input to the COA and the COA already input to the electronic medical chart on the time axis. For example, not only information on contraindications due to mere combination of drugs, but also detailed analysis processing whether contraindications at the input time (timing) are possible.

<Operation of Electronic Medical Record Management System as First Embodiment>
Hereinafter, the operation of the electronic medical record management system 1 as the first embodiment will be described in detail with reference to FIGS.

  In the present embodiment, an operation of the electronic medical record management system 1 when generating a treatment plan for a patient X (a 3-year-old boy, weight 15 kg) having acetoneemia vomiting and dehydration will be described as an example.

  In creating an electronic medical record in the present embodiment, the COA information storage device 11 of the electronic medical record management center device 10 has an act information layer 100 of COA (A), COA (B), COA (C), and COA (D). Is stored as shown in Table 1, and information of the management layer 400 is stored in advance as shown in Table 2.

The individual information stored in these COAs represents the self-act information of COA (A) as self-act information 110 (A), the linkage act information as linkage act information 120 (A). The COA (B) self-act information is represented as self-act information 110 (B), and the linkage act information is represented as linkage act information 120 (B).

  First, when the terminal device 20 is activated by a doctor who is a user, an application of the electronic medical record management system stored in the storage device 22 is acquired and activated in the processing unit 23 (S1).

  Next, when an electronic medical chart creation screen is requested from the input device 21 to the processing unit 23 by a doctor's operation, an electronic medical record creation screen is displayed on the display device 25 according to an instruction from the processing unit 23 (S2).

  The electronic medical record according to the present embodiment has time axis information, and information representing the time axis is displayed in advance on the creation screen.

  In this electronic medical record creation screen, information (patient 3 years old, body weight 15 kg, etc.) of patient X for whom a treatment plan is made is first input (S3).

  Although detailed description of the process of inputting information such as age and weight is omitted, it is input as a COA generated by observation, as in the following inputs of COA (A) to COA (D).

  Here, as treatment for patient X, it is important to first improve hypoglycemia associated with acetone-related vomiting in order to relieve symptoms such as headache, abdominal pain, and vomiting in patient X, in order to improve these symptoms The COA (A) “intravenous glucose injection” is treated by a doctor for 10 minutes.

  In order to input the COA (A) treatment plan into the electronic medical record, a doctor inputs an acquisition request for COA (A) information from the input device 21 to the processing unit 23.

  When this COA (A) information acquisition request is input, the COA (A) information is acquired by the processing unit 23 from the COA information storage device 11 via the communication unit 24, the communication unit 13, and the processing unit 15. (S4).

  When the information on the COA (A) is acquired by the processing unit 23, the information on the acquired COA (A) and the corresponding treatment execution time on the time axis of the electronic medical record by the operation of the doctor's input device 21 and Detailed information on treatment (concentration of injection solution 20%, dosage 40 mL, administration time 10 minutes) is input to generate detailed information, and this detailed information is displayed on the display device 25 (S5). The information on the COA (A) and the detailed information on the treatment that have been input and generated in the electronic medical record are referred to as COA (A-1).

  In the input COA (A-1) linkage act characteristic 121 (A-1), information on “prohibition of glucose administration every 2 hours before and after self-act” is stored based on the time axis information.

  When the information stored in the COA (A-1) is represented on the time axis with the time point when the COA (A-1) treatment is started as 0 hours, as shown in FIG. Is the execution period of COA (A-1), and the period from -2 hours to 2 hours later is the application period of the linkage act characteristic (A-1).

  Further, as detailed information on the treatment of COA (A-1), when information on the concentration of the injection solution is 20%, the dose is 40 mL, and the administration time is 10 minutes is input from the input device 21 by the operation of the doctor, As indicated by the dotted arrows in FIG. 6, based on the information stored in the self-act logic 112 (A-1) of the COA (A-1), the numerical values of these concentrations and doses are calculated according to the self-act characteristics 111 ( The processing unit 23 determines whether it is within an appropriate range defined by the knowledge 111d (A-1) of A-1).

  Further, depending on the existence of a contradiction with other COAs according to the conditional expression of the linkage act logic 122 (A-1) based on the information stored in the linkage act characteristic 121 (A-1) of the COA (A-1). It is determined whether or not the input information needs to be updated. Here, however, there is no other COA that has been input yet, so the information in these linkage act information 120 is updated from the relationship with the COA that is subsequently input. The processing unit 23 monitors the necessity.

  The determination processing of the self-act logic 112 (A-1) and the linkage act logic 122 (A-1) is performed according to the characteristics of the respective self-act information 110 (A-1) or linkage act information 120 (A-1). The processing order and processing conditions are controlled by the operation layer 200 and executed by the processing unit 23 (S6).

  Here, when a numerical value outside the appropriate range is input and it is determined that the electronic medical record needs to be updated (“YES” in S7), warning information is generated as an update process and displayed on the display device 25 in a pop-up screen. (S8). When a numerical value outside the applicable range is not input and it is determined that there is no need to update the electronic medical chart (“NO” in S7), the process proceeds to step S9.

  Next, when the treatment plan of COA (A-1) is input to the electronic medical record, information indicating that COA (A-1) is in the planned state is stored in the state 300a of the output layer 300 of COA (A-1). The

  Thereafter, when the treatment of COA (A-1) is performed and it is input from the input device 21 that the treatment has been performed by the operation of the doctor, information on the state 300a of the output layer 300 of the COA (A-1) is obtained. The plan state is changed to the implementation state and further to the completion state and stored.

  When the state 300a of the output layer 300 transitions to the completed state, a treatment evaluation (success, failure, etc.) is input from the input device 21 by a doctor's operation and stored in the evaluation 300b (S9).

  Next, in order to improve the dehydration of patient X caused by vomiting until then, COA (B) “instillation of saline solution” over 3 hours is treated with COA (A-1 ) Is determined by the doctor to start 30 minutes after the start of implementation.

  In order to further input this COA (B) treatment plan into the electronic medical chart (“YES” in S10), the process returns to step S4, and a doctor obtains an information acquisition request for COA (B) from the input device 21 to the processing unit 23. The COA (B) information is acquired by the processing unit 23 from the COA information storage device 11 via the communication unit 24, the communication unit 13, and the processing unit 15 (S4).

  When the information on the COA (B) is acquired by the processing unit 23, the information on the acquired COA (B) and the corresponding treatment execution time on the time axis of the electronic medical record are operated by the operation of the input device 21 of the doctor. Detailed treatment information (saline dose is 10 mL / kg body weight, infusion time is 3 hours) is input and generated, and this detailed information is displayed on the display device 25 (S5). Information input to these electronic medical records is referred to as COA (B-1).

  The input COA (B-1) linkage act characteristic 121 (B-1) stores information related to “restrictions on simultaneous administration with other infusions” based on the time axis information.

  When the information stored in the COA (B-1) is represented on the time axis with the time point at which the COA (A-1) treatment is started as 0 hours, as shown in FIG. Three hours until 30 minutes later is a treatment period of COA (B-1) and an application period of the linkage act characteristic (B).

  Further, as detailed information on the treatment of COA (B-1), when information on a physiological saline dose of 10 mL per kg of body weight and an infusion time of 3 hours is input from the input device 21 by the operation of a doctor, FIG. 6, based on the information stored in the self-act logic 112 (B-1) of the COA (B-1), the values of these doses and infusion times are converted into self-act characteristics 111 ( Whether it is within the appropriate range defined by the knowledge 111d (B-1) of B-1) is determined and stored in the linkage act characteristic 121 (B-1) of COA (B-1). Based on the information, the processing unit 23 determines whether or not the input information needs to be updated according to the contradiction with other COAs in accordance with the conditional expression of the linkage act logic 122 (B-1). Further, based on the information in the linkage act information 120, the processing unit 23 monitors whether or not there is a need for updating from the relationship with the COA input thereafter.

  The determination processing of the self-act logic 112 (B-1) and the linkage act logic 122 (B-1) is performed according to the characteristics of the respective self-act information 110 (B-1) or linkage act information 120 (B-1). The processing order and processing conditions are controlled by the operation layer 200 and executed by the processing unit 23 (S6).

  Here, the self-act logic 112 (B-1) stores information on the medicine used in the treatment of the COA (B-1). Based on the information “10 mL per kg” and the information “Patient X body weight is 15 kg”, the treatment unit 23 determines that the physiological saline dosage is 450 mL and one 500 mL physiological saline is a necessary article. Calculated and displayed.

  In addition, when a numerical value outside the proper range is input, or when a contradiction or the like is detected in relation to another COA and it is determined that the electronic medical record needs to be updated (“YES” in S7), the update is performed. As a process, a warning is displayed on the display device 25 in a pop-up screen (S8). When a numerical value outside the applicable range is not input, or when it is determined that there is no need to update the electronic medical record because no contradiction with other COAs is detected ("NO" in S7), the process of step S9 Move on.

  Next, when the treatment plan of COA (B-1) is input to the electronic medical record, information on the state 300a of the output layer 300 of COA (B-1) is stored as the plan state.

  Thereafter, according to the displayed information, when a doctor prepares one 500 mL physiological saline and instillation is started, and the fact that treatment has been performed is input from the input device 21 by the doctor's operation, COA (B− The information of the state 300a of the output layer 300 in 1) is changed from the planned state to the implementation state (S9).

  However, since the patient X repeatedly vomited and complained of the symptoms of abdominal pain at the start of the infusion, the doctor determines that the COA (A) “intravenous glucose injection” should be treated again.

  In order to further input this COA (A) treatment plan into the electronic medical chart (“YES” in S10), the process returns to step S4, and the information on the COA (A-1) on the electronic medical chart already input by the operation of the doctor is displayed. By copying, the information of COA (A) is acquired (S4), input is instructed on the corresponding treatment execution time on the time axis, and displayed on the display device 25 (S5). This instructed information is assumed to be COA (A-2).

  In the linkage act characteristic 121 (A-2) of the COA (A-2) that is instructed to be input, information on “prohibition of glucose administration every 2 hours before and after the self-act” is stored based on the time axis information. .

  When the information stored in these COAs (A-2) is represented on the time axis with the time point of starting treatment of COA (A-1) as 0 hours, as shown in FIG. 10 minutes is the treatment period of COA (A-2), and the period from −1 hour 30 minutes to 2 hours 30 minutes is the application period of the linkage act characteristic (A-2).

  Since whether or not the information instructed to be input is within the appropriate range of the knowledge 111d (A-2) of the self-act characteristic 111 (A-2) is determined when the COA (A-1) is input, the COA Based on the information stored in the linkage act characteristic 121 (A-2) of (A-2), the input information depending on the existence of contradiction with other COAs according to the conditional expression of the linkage act logic 122 (A-2) Whether the update is necessary is determined by the processing unit 23 (S6).

  Here, as COA contrary to “prohibition of glucose administration every 2 hours before and after self-act” stored in linkage act characteristic 121 (A-2), it is performed 30 minutes before the start of COA (A-2) treatment. The received COA (A-1) “intravenous glucose injection” is detected, and it is determined that the electronic medical record needs to be updated (“YES” in S7).

  At the same time, based on the linkage act logic 122 (A-1) of the COA (A-1), the processing unit 23 monitors the contradiction with the COA (A-1). It is detected that A-2) is a COA contrary to COA (A-1), and it is determined that the electronic medical chart needs to be updated.

  From these detection results, warning information for informing that the intravenous injection of COA (A-2) glucose contradicts the intravenous injection of COA (A-1) as an update process is generated, and is displayed on the display device 25. A pop-up screen is displayed (S8).

  The start-up time of COA (A-2) is changed to the time when 2 hours have elapsed from the start of the intravenous infusion of COA (B-1) physiological saline by the doctor's judgment by the pop-up warning, and input is instructed.

  At the time when 2 hours have passed since the start of the drip injection, COA (A-2) does not contradict COA (A-1), so it is determined that the electronic medical record does not need to be updated, and no warning is displayed. COA (A- 2) can be input to the electronic medical record.

  When the treatment plan of COA (A-2) is input to the electronic medical record, the state 300a of the output layer 300 of the COA (A-2) transitions from the planned state to a postponed state that is postponed for two hours and is stored. (S9).

  Next, in order to grasp the state of the patient X with respect to having performed COA (A-1), COA (B-1), and COA (A-2) so far, symptoms are observed by a doctor based on judgment.

  As a result, vomiting was observed 60 minutes and 120 minutes after the start of COA (B-1) “physiological saline infusion”, but disappeared thereafter.

  In order to input that vomiting has occurred into the electronic medical chart (“YES” in S10), the process returns to step S4, and the doctor inputs an acquisition request for information on COA (C) “vomiting” from the input device 21 to the processing unit 23. The COA (C) information is acquired by the processing unit 23 from the COA information storage device 11 via the communication unit 24, the communication unit 13, and the processing unit 15 (S4).

  When the information on the COA (C) is acquired by the processing unit 23, 60 minutes from the start of COA (B) “saline infusion of saline” on the time axis of the electronic medical record by the operation of the doctor's input device 21 The information on the COA (C) and the detailed information on the symptoms acquired at two locations after and 120 minutes later are input and displayed on the display device 25 (S5). Information input to the electronic medical record is referred to as COA (C-1) and COA (C-2), respectively.

  Next, based on the details of the input COA (C-1), COA (C-2), and the symptom, the symptom stage evaluation is calculated according to the information of the self-act logic 112.

  Also, since the input COA (C-1), COA (C-2) “observation of symptoms (vomiting)” is not an intervention operation, the information of the linkage act logic 122 is not set and the contradiction information is not detected. Therefore, it is determined that the electronic medical record is not required to be updated (“NO” in S6 and S7).

  Further, the information of the state 300a of the output layer 300 of COA (C-1) and COA (C-2) is already transferred from the implementation state to the completion state and stored (S9).

  Further, in order to monitor the glucose administration rate per unit time as well as the observation of symptoms, the doctor determines that the COA (D) “total sugar dose calculation” process is performed once an hour on the electronic medical record. The

  In order to input this COA (D) treatment plan into the electronic medical record (“YES” in S10), the process returns to step S4, and a doctor obtains an acquisition request for COA (D) information from the input device 21 to the processing unit 23. The COA (D) information is acquired by the processing unit 23 from the COA information storage device 11 via the communication unit 24, the communication unit 13, and the processing unit 15 (S4).

  When the information of the COA (D) is acquired by the processing unit 23, 0 minutes from the start of COA (B) “saline infusion of saline” on the time axis of the electronic medical record by the operation of the doctor's input device 21 The information of the COA (D) acquired at four locations after, 1 hour, 2 hours, 3 hours later is input and displayed on the display device 25 (S5). Information input to the electronic medical record is referred to as COA (D-1), COA (D-2), COA (D-3), and COA (D-4), respectively.

  By the COA (D-1) to COA (D-4), the sugar administration rate, the cumulative dose, and the total calorie amount per hour are calculated by the processing unit 23 and displayed on the display device 25. .

  Since the input COA (D-1) to COA (D-4) “total sugar dose calculation” is not an intervention operation, the information of the linkage act logic 122 is not set and the contradiction information is not detected. Is not necessary ("NO" in S6 and S7).

  In this embodiment, glucose is included in COA (B-1) “intravenous drip injection” in addition to COA (A-1) and COA (A-2) “intravenous glucose injection”. Therefore, the administration rate by these three COAs, the cumulative dose, and the total calorie amount are calculated every hour.

  Further, information on the state 300a of the output layer 300 of COA (D-1) to COA (D-4) is stored as a planned state (S9). When each COA is executed, the information of the state 300a is changed from the planned state to the executed state and the completed state and stored.

  When all the COAs are input by the processing unit 23 (“NO” in S10), the generated electronic medical record data is output from the processing unit 23 via the communication unit 24 by the operation of the doctor, The data is recorded in the electronic medical record recording apparatus 12 via the communication unit 14 and the processing unit 16 (S11).

  According to the above embodiment, details based on the time axis information whether or not the treatment content is performed with numerical values within an appropriate range when the COA is input and whether there is any contradiction with other medical practices. Can be detected by simple processing.

  For example, as in the case of the present embodiment, the contradiction detection is performed based on information such as “prohibition of glucose administration every 2 hours before and after COA (A-1) glucose injection”, and thus “COA (A-1) Only glucose administration input at the time of “2 hours before and after glucose injection” is detected as a contradiction, and when it exceeds 2 hours, it is not detected as a contradiction, and accurate processing is performed according to detailed information for each medical practice. it can.

  In addition, since electronic medical record data is recorded in the electronic medical record recording device 12, it can be read and used by a terminal device 20 different from the terminal device 20 that created the electronic medical record data.

  Further, the electronic medical record data generated by the processing unit 23 may be recorded in the electronic medical record recording device 12 and may be recorded in the temporary storage device 26 of the terminal device 20 at the same time. Even in the case where treatment is continued for the patient X in an environment where the network 30 cannot be connected, the treatment can be performed using the treatment plan of the generated electronic medical record.

  In addition, when treatment is not performed according to the plan entered on the electronic medical chart (when the result is not entered even if the injection of COA (A-2) changed after 2 hours in the first embodiment reaches the corresponding time) Etc.), a warning that treatment is not being performed can be displayed on the display device 25.

  In this embodiment, the COA information for creating the electronic medical record is acquired from the COA information storage device 11 and used. However, the existing electronic medical record data recorded in the electronic medical record recording device 12 is used. May be. By using the data of the electronic medical record recorder 12, it is possible to refer to a treatment plan that has already been created using a plurality of COAs.

  In the present embodiment, the warning display due to contradiction with another COA has been described as the update process of the input information of the electronic medical record performed in relation to the other COA. However, the present invention is not limited to this, and the linkage act characteristic information is not limited to this. The electronic medical record information may be updated by adding another COA, deleting an already input COA, or displaying a related screen.

  Further, in the present embodiment, a case has been described in which the same type of COA (A) suppresses repeated processing within a predetermined time, but the presence or absence of information update due to contradiction is similarly detected between different COAs. Is possible.

  In the present embodiment, the case where the contradictory relationship between the COAs is detected has been described. However, the present invention is not limited to this, and it is possible to detect any relationship between the COAs input to the electronic medical record including subordinate relationships. It is.

  In addition, the information stored in the COA shown in Table 1 and Table 2 of this embodiment is an example of information shown for use in explanation.

<< Electronic Medical Record Management System as Second Embodiment of Project Management System >>
Another embodiment of the electronic medical record management system will be described as a second embodiment of the project management system of the present invention.

  Since the configuration of the electronic medical record management system of this embodiment is the same as that of the first embodiment, detailed description thereof is omitted.

  The operation of the electronic medical chart system 1 in the present embodiment will be described with reference to FIG.

  FIG. 7 is an explanatory diagram showing the relationship between the COA information in this embodiment.

  In the present embodiment, COA (K) “blood test”, COA (L) “gentamicin ointment application”, and COA (M) “gentamicin intravenous drip injection” are stored in the COA information storage device 11 of the electronic medical record management center apparatus 10. Is stored.

  First, the terminal device 20 is started by the doctor, the application of the electronic medical record management system is started, and the electronic medical record information of the patient Y already created and recorded is transferred from the electronic medical record recording device 12 of the electronic medical record management center device 10 to the network. 30 is acquired by the processing unit 23.

  The electronic medical record acquired by the processing unit 23 is displayed on the display device 25.

  Here, it is assumed that the COA (K) “blood test” performed on the previous day and the COA (L) “gentamicin ointment application” performed one hour ago are input on the time axis.

  In this state, the doctor determines that COA (M) “intravenous infusion of gentamicin” will be performed, and information on COA (M) is acquired by the processing unit 23 from the COA information storage device 11.

  When the information on the COA (M) is acquired by the processing unit 23, the information on the COA (M) acquired at the corresponding position on the time axis of the electronic medical record by the operation of the doctor is input.

  When COA (M) is input, information is acquired between the COAs input to the electronic medical chart, and related COAs are detected.

  FIG. 7 is an explanatory diagram showing the relationship between COA information in this embodiment, and it is shown that information is acquired between the self act and the linkage act.

  In the linkage act characteristic of the input COA (M), information of “prohibition of gentamicin administration within 2 hours before and after self-act” is stored. Based on this information, the COA (L ) Detected as COA involving “gentamicin ointment application”.

  However, since this COA (L) was administered to the skin, it was determined by self-act logic that it was not necessary to stop the execution of COA (M) “gentamicin intravenous infusion”. Not done.

  On the other hand, in the linkage act characteristic of COA (M), “dosage prohibition at the time of renal failure” is also stored, and related COA detection processing is performed based on this information.

  Here, it is judged by the self-act logic of COA (K) “blood test” that the result of serum creatinine test is 10 times the normal value in the COA (K) “blood test” performed the day before and that renal failure is present. Therefore, the COA (K) “blood test” determined to be contradictory based on the linkage act logic of the COA (M) “gentamicin intravenous infusion” is detected.

  When COA (K) “blood test” is detected, warning information is generated to inform COA (M) “gentamicin intravenous infusion” that COA (K) “blood test” is contradictory, and displayed. A pop-up screen is displayed on the device 25.

  In this way, information is mutually acquired between the self-act and the linkage act, and the determination is made in the linkage act based on the result processed and output by the self-act, or conversely, the information is processed and output by the linkage act. It is also possible to make a judgment by self-act based on the result obtained.

  According to the present embodiment described above, information is exchanged between the self-act and the linkage act, so that the treatment content is performed within the appropriate range, and is contradictory to other medical practices. It is possible to detect whether or not there is a higher accuracy.

<< Electronic medical record management system as a third embodiment of the project management system >>
As a third embodiment of the project management system of the present invention, an electronic medical record management system capable of performing staff management, accounting management, etc. in the medical field will be described.

  Since the configuration of the electronic medical record management system of this embodiment and the management operation related to medical practice are the same as in the first embodiment, detailed description thereof is omitted, but the COA information of the electronic medical record management center device 10 in this embodiment is omitted. In addition to the information of Table 1 in the first embodiment, the storage device 11 stores information on the act information layer 100 of COA (E) “nurse placement” and COA (F) “accounting”. .

  In the present embodiment, operations when performing staff management and accounting management will be described with reference to FIGS. 4 and 8.

  In FIG. 4, since the process of step S1-step S4 is the same as that of 1st Embodiment, detailed description is abbreviate | omitted.

  In step S4, when the processing unit 23 of the terminal device 20 acquires the information of COA (A) “intravenous glucose injection” from the COA information storage device 11 of the electronic medical record management center device 10, and inputs the information on the electronic medical record, The input information is displayed on the display device 25 (S5).

  The COA (A) information input to the electronic medical record is referred to as COA (A-3).

  Based on the time axis information, the input COA (A-3) linkage act characteristic 121 (A-3) is based on the information of “Prohibition of glucose administration every 2 hours before and after self-act”, and the implementation of intravenous glucose injection. The information of “nurse placement” for the purpose and information of “accounting” by intravenous glucose injection are stored.

  When the information stored in the COA (A-1) is represented on the time axis with the time point when the COA (A-3) treatment is started as 0 hours, as shown in FIG. Is the execution period of COA (A-3), and the period from -2 hours to 2 hours later is the application period of the "linkage prohibition of glucose every 2 hours before and after self-act" in the linkage act characteristic (A-3). The application period of “Nurse placement” of linkage act characteristic (A-3) is between 10 minutes and 10 minutes, and the period of application of “accounting” of linkage act characteristic (A-3) is between 10 minutes and 20 minutes. Become.

  Next, it is determined whether or not the input information needs to be updated due to the relationship with other COAs. In this example, “Nurse placement” and “Accounting”, which are other actions, are stored as the linkage act characteristic 121 (A-3) of the COA (A-3). It is determined that it is necessary to update the information obtained from the COA information storage device 11 of the device 10 and input to the electronic medical record (“Yes” in S7).

  If it is determined in step S7 that the electronic medical record needs to be updated, an acquisition request for information on COA (E) “nurse placement” and COA (F) “accounting” is sent from the processing unit 23 to the electronic medical record management center device. 10, information on COA (E) and COA (F) is acquired by the processing unit 23 from the COA information storage device 11 via the communication unit 24, the communication unit 13, and the processing unit 15.

  When the information of COA (E) and COA (F) is acquired by the processing unit 23, the information is input to the corresponding time position on the electronic medical record according to the information of the linkage act characteristic 121 (A-3).

  The COA (E) information input to the electronic medical record is COA (E-1), and the COA (F) information is COA (F-1).

  In the input COA (E-1) and COA (F-1), a linkage act characteristic 121 (E-1) is further stored as necessary.

  As described above, the information on the COA (E-1) and the COA (F-1) is automatically acquired and input based on the linkage act characteristic 112 (A-3), and the electronic medical record is updated ( S8).

  Since the processing after step S9 is the same as that of the first embodiment, detailed description thereof is omitted.

  According to the electronic medical record management system of the third embodiment described above, not only the medical practice itself but also various actions generated by the implementation of the medical practice can be managed based on the time axis information. Processing can be performed efficiently.

  As in this embodiment, staffing and accounting management are performed by electronic medical records by automatically assigning personnel necessary for the implementation of medical practice or by performing accounting processing at the same time as the implementation of medical practice. It becomes possible to do.

  In this embodiment, nurse placement and accounting are described as actions that occur due to the implementation of medical practice. However, the present invention is not limited to this, and management such as procurement of goods and use management of facilities is also possible. .

<< Manufacturing Process Management System as Fourth Embodiment of Project Management System >>
As a fourth embodiment of the project management system of the present invention, a manufacturing process management system for managing manufacturing processes in the industrial product manufacturing field will be described.

  The definition of act and COA in the manufacturing process management system of this embodiment is the same as that of the first embodiment. Examples of the act include “manufacturing”, “assembly”, “inspection”, etc. Stored as COA.

<Configuration of Manufacturing Process Management System as Fourth Embodiment>
The configuration of the manufacturing process management system 1a in the present embodiment will be described with reference to FIG.

  The manufacturing process management system 1 a according to the present embodiment is configured by connecting a manufacturing process management center apparatus 10 a and a plurality of terminal devices 20 via a network 30.

  The manufacturing process management center apparatus 10a is composed of the manufacturing process recording apparatus 12a in place of the electronic medical record recording apparatus 12 of the electronic medical record management center apparatus 10a of the first embodiment, and the electronic medical chart management of the first embodiment. Since it is the same as that of the center apparatus, detailed description is omitted.

  In this embodiment, the COA information storage device 11a stores COAs relating to acts such as “manufacturing”, “assembly”, and “inspection”, and the manufacturing process recording device 12a generates COA as a manufacturing process. To make the data.

  Further, since the information constituting each COA is the same as that in the first embodiment, detailed description thereof is omitted.

  Moreover, since the terminal device 20 is the same as that of the terminal device 20 of 1st Embodiment, detailed description is abbreviate | omitted.

<Operation of Manufacturing Process Management System as Fourth Embodiment>
Hereinafter, the operation of the manufacturing process management system 1a according to the fourth embodiment will be described in detail with reference to FIGS. 10 and 11 using a specific example.

  In the present embodiment, the operation of the manufacturing process management system 1 when generating a coating process plan during manufacturing of an industrial product will be described as an example.

  In creating the coating process plan in the present embodiment, the COA information storage device 11 of the manufacturing process management center apparatus 10a stores the act information layers of COA (G), COA (H), COA (I), and COA (J). 100 information is stored as shown in Table 3, and information of the management layer 400 is stored in advance as shown in Table 4.

The individual information stored in these COAs represents the self-act information of COA (G) as self-act information 110 (E), the linkage act information as linkage act information 120 (E), and so on. The COA (H) self-act information is represented as self-act information 110 (F), and the linkage act information is represented as linkage act information 120 (F).

  First, when the terminal device 20 is activated by the user, an application of the manufacturing process management system stored in the storage device 22 is acquired and activated in the processing unit 23 (S21).

  Next, when a production process plan table creation screen is requested from the input device 21 to the processing unit 23 by the user's operation, a production process plan table creation screen is displayed on the display device 25 according to an instruction from the processing unit 23. (S22).

  The manufacturing process plan table according to the present embodiment has time axis information, and information indicating the time axis is displayed in advance on the creation screen.

  In this manufacturing process creation table, it is first input to create a plan for the painting process (S23).

  First, the user determines that the COA (G) “painting” process for the first exterior coating is performed over 10 minutes.

  In order to input the COA (G) process to the manufacturing process plan table, the user inputs a COA (G) information acquisition request from the input device 21 to the processing unit 23, and the communication unit 24, the communication unit 13, and the process The COA (G) information is acquired by the processing unit 23 from the COA information storage device 11 via the unit 15 (S24).

  When the COA (G) information is acquired by the processing unit 23, the acquired COA (G) information is displayed at a corresponding position on the time axis of the manufacturing process plan table by the user's operation of the input device 21. The data is input and displayed on the display device 25 (S25). This COA (G) information input to the manufacturing process plan table is defined as COA (G-1).

  The input COA (G-1) linkage act characteristic 121 (E-1) stores information “repeating overpainting for 2 hours after painting is prohibited” based on the time axis information.

  When the information stored in the COA (G-1) is represented on the time axis with the time point at which the COA (G-1) process is started as 0 hours, as shown in FIG. The execution period of COA (G-1) is between -2 hours and 2 hours later, and the application period of the linkage act characteristic (E-1).

  Further, when the self-act logic 112 is stored in the input COA, as shown by the dotted arrow in FIG. 6, the information of the self-act characteristic 111 information is based on the information stored in the self-act logic 112. Processing such as confirmation and calculation is performed by the processing unit 23.

  Here, since no information is stored in the self-act logic 112 (E-1), no processing is performed.

  Further, depending on the existence of a contradiction with other COAs according to the conditional expression of the linkage act logic 122 (E-1) based on the information stored in the linkage act characteristic 121 (E-1) of the COA (G-1). It is determined whether or not the input information needs to be updated. Here, however, there is no other COA that has been input yet, so the information in these linkage act information 120 is updated from the relationship with the COA that is subsequently input. The processing unit 23 monitors the necessity.

  The determination processing of the self-act logic 112 (E-1) and the linkage act logic 122 (E-1) is performed according to the characteristics of the respective self-act information 110 (E-1) or linkage act information 120 (E-1). The processing order and processing conditions are controlled by the operation layer 200 and executed by the processing unit 23 (S26).

  Here, when a warning is required by the process of confirmation, calculation, and determination of whether or not there is a trade-off ("YES" in S27), a warning is displayed on the display device 25 in a pop-up screen (S28). When there is no need for warning (“NO” in S27), the process proceeds to step S29.

  Next, when the COA (G-1) processing plan is input to the manufacturing process, information indicating that the COA (G-1) is in the planned state is stored in the state 300a of the output layer 300 of the COA (G-1). The

  After that, when the COA (G-1) process is performed and the fact that the process is performed by the user's operation is input from the input device 21, information on the state 300a of the output layer 300 of the COA (G-1) Are transferred from the planned state to the implemented state and then to the completed state and stored.

  When the state 300a of the output layer 300 transitions to the completed state, a process evaluation (success, failure, etc.) is input from the input device 21 by the user's operation and stored in the evaluation 300b (S29).

  Next, the user determines that the process of performing COA (H) “adhesive injection” over 3 hours is started 30 minutes after the start of implementation of COA (G-1).

  In order to further input this COA (H) processing plan into the manufacturing process (“YES” in S30), the process returns to step S24, and the user inputs an acquisition request for COA (H) information from the input device 21 to the processing unit 23. Then, the COA (H) information is acquired by the processing unit 23 from the COA information storage device 11 via the communication unit 24, the communication unit 13, and the processing unit 15 (S24).

  When the COA (H) information is acquired by the processing unit 23, the acquired COA (H) information is obtained on the corresponding processing execution time on the time axis of the manufacturing process by the user's operation of the input device 21. Is displayed and displayed on the display device 25 (S25). The information input to this manufacturing process is defined as COA (H-1).

  Since no information is stored in the self-act logic 112 (F-1) and the linkage act characteristic 121 (F-1) of the input COA (H-1), processing based on these (S26) and processing related to warnings (S27, S28) are not performed.

  When the information stored in the COA (H-1) is represented on the time axis with the time point at which the COA (G-1) processing is started as 0 hours, as shown in FIG. Three hours until 30 minutes later is the COA (H-1) processing period.

  Next, when the processing plan of COA (H-1) is input to the manufacturing process, information on the state 300a of the output layer 300 of COA (H-1) is stored as the planned state.

  After that, according to the displayed information, the adhesive is injected by the user, and when it is input, the information of the state 300a of the output layer 300 of the COA (H-1) is changed from the planned state to the implemented state. A transition is made (S29).

  Next, the user determines to perform the second COA (G) “painting” process.

  In order to further input this COA (G) processing plan into the manufacturing process (“YES” in S30), the process returns to step S24, and information on COA (G-1) on the manufacturing process that has already been input by the user's operation. Is copied (S24), and an input is instructed at the same time as the start of COA (H-1) “adhesive injection” on the time axis (S25). This input information is COA (G-2).

  In the linkage act characteristic 121 (E-2) of the COA (G-2) for which the input is instructed, information of “repeating overpainting for 2 hours after painting” is stored based on the time axis information. Yes.

  When the information stored in the COA (G-2) is represented on the time axis with the time point when the processing of the COA (G-1) is started as 0 hours, as shown in FIG. 10 minutes is the COA (G-2) treatment period, and the period from -1 hour 30 minutes to 2 hours 30 minutes is the linkage act characteristic (E-2) application period.

  Whether or not the information instructed to be input is within the appropriate range of the knowledge 111d (E-2) of the self-act characteristic 111 (E-2) is determined at the time of input of the COA (G-1). Based on the information stored in the linkage act characteristic 121 (E-2) of (G-2), according to the conditional expression of the linkage act logic 122 (E-2), the input information depending on the existence of contradiction with other COAs The processing unit 23 determines whether or not an update is necessary (S26).

  Here, as COA contrary to “repeated overprinting for 2 hours after painting” stored in linkage act characteristic 121 (E-2), 30 minutes before the start of COA (G-2) processing The performed COA (G-1) “painting” is detected (“YES” in S27).

  At the same time, based on the linkage act logic 122 (E-1) of the COA (G-1), the processing unit 23 monitors the contradiction with the COA (G-1), so that the input COA (G- It is detected that 2) is COA contrary to COA (G-1).

  From these detection results, warning information for informing that the coating of COA (G-2) is contrary to the coating of COA (G-1) is generated and displayed on the display device 25 in a pop-up screen (S28). .

  The start-up time of COA (G-2) is changed to the time when 2 hours have elapsed from the injection of the COA (H-1) adhesive by the user's judgment by the pop-up warning, and re-input is instructed.

  At the time when 2 hours have passed since the start of the injection of the adhesive, COA (G-2) does not contradict COA (G-1), so no warning is displayed, and COA (G-2) can be input to the manufacturing process. .

  When the processing plan of COA (G-2) is input to the manufacturing process, the state 300a of the output layer 300 of COA (G-2) transitions from the planned state to a postponed state that is postponed for two hours and is stored. (S29).

  Next, observation is performed to calculate the number of unevenness caused by the medical practices COA (G-1), COA (H-1), and COA (G-2). 1 hour 30 minutes and 2 hours 30 minutes after the start of “painting”.

  In order to input that the observation has been performed into the manufacturing process (“YES” in S30), the process returns to step S24, and the user obtains an acquisition request for information on COA (I) “coating unevenness observation” from the input device 21. The information of COA (I) is acquired by the processing unit 23 from the COA information storage device 11 via the communication unit 24, the communication unit 13, and the processing unit 15 (S24).

  When the COA (I) information is acquired by the processing unit 23, 1 hour 30 minutes after the start of COA (G-1) “painting” on the time axis of the manufacturing process by the operation of the user's input device 21. Information of COA (I) acquired at two locations after 2 hours and 30 minutes, and observation results such as the observed area and the number of unevenness counted in the observation are input and displayed on the display device 25 (S25) ). The information input in this manufacturing process is defined as COA (I-1) and COA (I-2), respectively.

  Next, from the input COA (I-1), COA (I-2) and the observation result, the number of unevenness per unit area is determined according to the information of the self-act logic 112 (G-1) and (G-2). Calculated.

  Since the input COA (I-1), COA (I-2) “Paint unevenness observation” is not an intervention operation, the information of the linkage act logic 122 is not set and the contradiction information is not detected (S26, S27) "NO").

  Further, the information of the state 300a of the output layer 300 of COA (I-1) and COA (I-2) is already transferred from the implementation state to the completed state and stored (S29).

  Further, it is determined by the user to perform the COA (J) “product thickness calculation” process for calculating the thickness of the product after painting along with the observation of the coating unevenness.

  In order to input this COA (J) processing plan into the manufacturing process (“YES” in S30), the process returns to step S24, and the user inputs an acquisition request for COA (J) information from the input device 21 to the processing unit 23. The COA (J) information is acquired by the processing unit 23 from the COA information storage device 11 via the communication unit 24, the communication unit 13, and the processing unit 15 (S24).

  When the COA (J) information is acquired by the processing unit 23, it is acquired 3 hours after the start of COA (G-1) “painting” on the time axis of the manufacturing process by the user's operation of the input device 21. The COA (J) information is input and displayed on the display device 25 (S25). The information input to this manufacturing process is defined as COA (J-1).

  Processing for calculating the product thickness from the input COA (J-1) by adding the thickness of the product itself to the coating thickness per coating time x the number of times of coating according to the information of the self-act logic 112 (H-1). Is performed by the processing unit 23 and displayed on the display device 25.

  Further, since the input COA (J-1) “product thickness calculation” is not an intervention operation, the information of the linkage act logic 122 is not set, and the contradiction information is not detected (“NO” in S26 and S27).

  In the present embodiment, the coating is performed twice, that is, COA (G-1) and COA (G-2), and thus the product thickness is calculated by executing the COA twice.

  Further, information on the state 300a of the output layer 300 of the COA (J-1) is stored as a planned state (S29). When this COA (J-1) is executed, the information of the state 300a is stored after being changed from the planned state to the executed state and the completed state.

  When all the COAs are input by the processing unit 23 (“NO” in S30), the generated manufacturing process data is manufactured through the communication unit 24, the communication unit 14, and the processing unit 16 by the user's operation. It is recorded in the recording device 12 (S31).

  According to the present embodiment described above, detailed processing based on time information indicates whether the processing content is performed with a numerical value within an appropriate range when the COA is input and whether there is any conflict with other processing. Can be detected.

  Further, since the manufacturing process data is recorded in the manufacturing process recording device 12, it can be read and used by a terminal device 20 different from the terminal device 20 that created the manufacturing process data.

  Further, the manufacturing process data generated by the processing unit 23 may be recorded in the manufacturing process recording device 12 and simultaneously in the temporary storage device 26 of the terminal device 20, and the terminal device 20 may be recorded in the temporary storage device 26. Even when the painting process is executed in an environment that cannot be connected to the network 30, it can be carried out using the processing plan of the generated manufacturing process.

  In addition, when processing is not performed according to the plan input in the manufacturing process (when the result is not input even if the coating of COA (G-2) changed after 2 hours in the fourth embodiment reaches the corresponding time) Etc.), a warning that processing is not being performed can be displayed on the display device 25.

  In this embodiment, the COA information for creating the manufacturing process is acquired from the COA information storage device 11 and used. However, the existing manufacturing process data recorded in the manufacturing process recording device 12 is used. May be. By using the data of the manufacturing process recording device 12, it is possible to refer to a processing plan that has already been created using a plurality of COAs.

  Also, the functional configuration of the electronic medical record management center device of the electronic medical record management system of the first embodiment and the third embodiment or the manufacturing process management center device of the manufacturing process management system of the fourth embodiment is programmed into a computer. By incorporating it, it is also possible to construct a program for a project management center apparatus that causes the computer to function as an electronic medical record management center apparatus of an electronic medical record management system or a manufacturing process management center apparatus of a manufacturing process management system.

  In addition, the functional configuration of the terminal device of the electronic medical record management system according to the first embodiment and the third embodiment or the terminal device of the manufacturing process management system according to the fourth embodiment is programmed and incorporated in the computer. It is also possible to construct a terminal device program that functions as a terminal device of an electronic medical record management system or a terminal device of a manufacturing process management system.

  Note that the processing unit 23, the storage device 22, the communication unit 24, and the temporary storage device 26 of the terminal device in the first, second, and third embodiments are not limited to this, but as described above. In addition, it can be constituted by a personal computer (PC). In this case, a program for causing the PC to execute the functions performed by the processing unit 23, the storage device 22, the communication unit 24, and the temporary storage device 26 (for example, steps indicated by S4 to S10) is created, and this program is executed on the PC. By running it, it is possible to carry out project management or the like, which is the implementation of the present invention.

  Needless to say, the program may be downloaded to a PC using a CD (CD-RW, CD-R) in which such a program is recorded in advance. The recording medium is not limited to a CD, but may be another type of optical disk (for example, a DVD (digital video disk), a magnetic disk, a magnetic tape, an optical tape, a semiconductor memory, a card-type hard disk, or the like.

Industrial applicability

  The present invention can be used in various industrial fields including medical industry and living industry. Specifically, according to the present invention, it is efficient to construct and manage a wide variety of projects in various industrial fields.

Accordingly, an object of the present invention is to consider the relationship between medical practices in medical information management , and to efficiently construct and manage medical management information , a medical information management system, a terminal device used therefor , and medical care An information management program and a terminal device program are provided.

In the medical information management system of the present invention, the terminal device used therefor, the medical information management program, and the terminal device program , all information constituting the medical management information is constructed with a common structure having time information. .

The medical information management system according to claim 1 of the present invention is a medical information management system that generates medical management information for managing medical practice information on a time axis, and each of the medical practice information relates to its own medical practice. Self-action information and linkage information including a period for detecting the relevance of another medical action with respect to the execution time of its own medical action and detection contents as application conditions, and for each medical action, Medical action information storage means for storing action information, medical action information acquisition means for acquiring medical action information selected from the medical action information stored in the medical action information storage means, and time axis information The medical treatment information acquired by the medical practice information acquisition means has the time axis corresponding to the execution time of the medical practice of the medical practice information based on an instruction from the outside The medical management information generating means for generating the medical management information by inputting each of the positions on the report, and when the medical action information acquired by the medical management information generating means is input on the time axis information The position where this medical practice information is input is set as its own execution time, and other medical practice information corresponding to the application condition of the linkage information stored in the medical practice information is already input on the time axis information. Input information for determining whether or not the input medical practice information satisfies the application conditions of the linkage information stored in the already entered other medical practice information In the determination means and the input information determination means, the other medical practice information corresponding to the application condition of the linkage information stored in the inputted medical practice information If it is determined that the information has already been input on the time axis information, or if the input medical practice information meets the application conditions of the linkage information stored in the other medical practice information already input When it is determined, the information processing means includes notification processing means for performing notification processing based on these determinations.

Moreover, claim 2 is the medical information management system according to claim 1, wherein the self-action information of the medical action information stored in the medical action information storage means further includes an appropriate range of numerical values used for the medical action, The medical management information generation unit acquires a numerical value used for the medical practice of the medical practice information from the outside when inputting the medical practice information acquired by the medical practice information acquisition unit on the time axis information, and When the acquired medical practice information and numerical values are input on the time axis information by the medical management information generating means, the input information judging means inputs the medical action information together with the medical practice information. It is further determined whether or not the numerical value included in the self-action information of the medical action information stored in the action information storage means is within an appropriate range, and the notification processing means When the input information determination means determines that the input numerical value is not within the appropriate range of the numerical value included in the self-action information of the medical action information stored in the medical action information storage means, this determination is made. A notification process is performed based on this.

Further, according to a third aspect of the present invention , in the medical information management system according to the first or second aspect, the medical practice information stored in the medical practice information storage means is a process when a plurality of judgment processes are performed in the input information judgment means The information further includes information on order and processing conditions, and the input information determining means makes a determination based on information on processing order and processing conditions of the determination processes included in the medical action information stored in the medical action information storage means. A process is executed.

  Moreover, Claim 4 is the medical information management system according to any one of Claims 1 to 3, wherein the notification processing performed by the notification processing means includes additional information of other medical practice information on the medical management information, It is characterized by notifying at least one of deletion information, warning information, or related information of medical practice information that has already been input to the medical management information.

The terminal device according to claim 5 is a terminal device used by a user connected to a medical information management center device that records medical practice information via a network. Self-act information related to the action, and linkage information including a period and a detection content for detecting the relevance of another medical action with respect to the execution time of the own medical action as application conditions, and the medical information management center The medical practice information acquisition means for acquiring the selected medical practice information from the stored medical practice information, and the medical practice information acquired by the medical practice information acquisition means having time axis information, The medical practice information is managed by inputting each position on the time axis information corresponding to the execution time of the medical practice information based on the instruction from When the acquired medical practice information is input on the time axis information by the medical management information generation means for generating medical management information for the medical management information, and the position where the medical practice information is input Is determined as to whether or not other medical practice information corresponding to the application conditions of the linkage information stored in the medical practice information has already been input on the time axis information. In the input information judging means for judging whether or not the inputted medical practice information corresponds to an application condition of the linkage information stored in the already inputted other medical practice information, Other medical practice information corresponding to the application condition of the linkage information stored in the inputted medical practice information has already been entered on the time axis information When it is determined or when it is determined that the input medical practice information corresponds to the application conditions of the linkage information stored in other already entered medical practice information, a notification is made based on these judgments. And a notification processing means for performing processing .

Further, claim 6 is the terminal device according to claim 5, wherein the self-action information of the medical action information recorded in the medical information management center apparatus and acquired by the medical action information acquisition means is a numerical value used for the medical action. The medical management information generating means is a numerical value used for the medical action of the medical action information when the medical action information acquired by the medical action information acquiring means is input on the time axis information. Is acquired from the outside and input together with the medical practice information, and the input information judging means inputs the acquired medical practice information and numerical value on the time axis information by the medical management information generating means. It is further determined whether or not the calculated numerical value is within an appropriate range of the numerical value included in the self-action information of the medical action information stored in the medical action information storage unit In the input information determining means, the notification processing means is not within an appropriate range of the numerical values included in the self-action information of the medical action information stored in the medical action information storage means. When it is determined, a notification process is performed based on this determination.

Further, according to claim 7, in the terminal device according to claim 5 or 6, medical action information recorded in the medical information management center apparatus and acquired by the medical action information acquisition unit includes a plurality of pieces of medical action information in the input information determination unit. The information processing unit further includes information on processing order and processing conditions when performing the determination processing, and the input information determination unit includes processing order and processing conditions of the determination processing included in the medical practice information stored in the medical practice information storage unit. The determination processing is executed based on the information.

Further, according to an eighth aspect of the present invention, in the terminal device according to any one of the fifth to seventh aspects, the notification processing performed by the notification processing means includes additional information of other medical practice information on the medical management information, already the medical It is characterized by notifying at least one of deletion information, warning information, or related information of medical practice information inputted in management information.

A ninth aspect of the present invention is the terminal device according to any one of the fifth to eighth aspects, further comprising storage means for storing the medical management information generated by the medical management information generating means.

In addition, the medical information management program according to claim 10 includes a period and a detection content for detecting the relevance between the self-action information about the own medical action and the other medical action with respect to the execution time of the own medical action. A medical practice information storage function for storing the medical practice information for each medical practice in a medical information management system that generates medical management information for managing medical practice information on a time axis with linkage information included as an application condition; The medical practice information acquisition function for acquiring the selected medical practice information from the medical practice information stored by the medical practice information storage function and the time axis information, and acquired by the medical practice information acquisition function The received medical practice information is input to each position on the time axis information corresponding to the execution time of the medical practice information according to the instruction from the outside. When the acquired medical practice information is input on the time axis information by the medical management information generation function for generating the medical management information and the medical management information generation function, the medical action information is input. And determining whether or not other medical practice information corresponding to the application condition of the linkage information stored in the medical practice information has already been input on the time axis information, with the position as its own execution time An input information determination function for determining whether or not the input medical practice information corresponds to an application condition of the linkage information stored in other already entered medical practice information, and the input information judgment In the function, other medical practice information corresponding to the application condition of the linkage information stored in the inputted medical practice information is already input on the time axis information. Or when it is determined that the input medical practice information meets the application conditions of the linkage information stored in the other already entered medical practice information. And a notification processing function for performing notification processing based on the notification processing function.

In addition, the terminal device program according to claim 11 includes a period and a detection content for detecting the relevance between the self-action information about the own medical action and another medical action with respect to the execution time of the own medical action. The medical practice recorded in the medical information management center apparatus on a terminal device used by a user connected to a medical information management center apparatus that records medical practice information having linkage information included as application conditions via a network A medical practice information acquisition function for acquiring selected medical practice information from the information via the network, and a medical practice information acquired by the medical practice information acquisition function from the outside. Based on the instruction of the medical information, the medical information is input to the position on the time axis information corresponding to the execution time of the medical action. When the acquired medical practice information is input on the time axis information by the medical management information generation function for generating medical management information for managing the action information and the medical management information generation function, the medical action information Whether or not other medical practice information corresponding to the application conditions of the linkage information stored in the medical practice information has already been entered on the time axis information, with the position where is input as its own execution time An input information determination function for determining whether or not the input medical practice information corresponds to an application condition of the linkage information stored in other already entered medical practice information; In the input information determination function, other medical practice information corresponding to the application condition of the linkage information stored in the inputted medical practice information is displayed on the time axis information. Or when it is determined that the input medical practice information satisfies the application conditions of the linkage information stored in other already entered medical practice information. And a notification processing function for performing notification processing based on the determination.

Moreover, claim 12 is the terminal device program according to claim 11, wherein the self-action information of the medical action information recorded in the medical information management center apparatus and acquired by the medical action information acquisition function is included in the medical action. The medical management information generation function further includes an appropriate range of numerical values to be used, when the medical practice information acquired by the medical practice information acquisition function is input on the time axis information. A numerical value to be used is acquired from outside and input together with the medical practice information, and in the input information determination function, the acquired medical practice information and numerical value are input on the time axis information by the medical management information generation function. The input numerical value is within an appropriate range of the numerical value included in the self-action information of the medical action information stored by the medical action information storage function. In the notification processing function, in the input information determination function, the input numerical value is included in the self-action information of the medical action information stored in the medical action information storage function. When it is determined that it is not within the proper range, a notification process is performed based on this determination.

Further, in the terminal device program according to claim 11 or 12, the medical action information recorded in the medical information management center apparatus and acquired by the medical action information acquisition function is obtained by the input information determination function. It further includes information on processing order and processing conditions when performing a plurality of judgment processes, and in the input information judgment function, the processing order of judgment processing included in the medical practice information stored in the medical practice information storage function and The determination process is executed based on the processing condition information.

Further, in the terminal device program according to any one of claims 11 to 13, in the notification process performed by the notification processing function, the additional information of other medical practice information to the medical management information, It is characterized by notifying at least one of deletion information, warning information, or related information of medical practice information already input in the medical management information.

In addition, a fifteenth aspect is the terminal device program according to any one of the eleventh to fifteenth aspects, further comprising a storage function for storing the medical management information generated by the medical management information generation function. .

Therefore, according to the medical information management system of the present invention, the terminal device used therefor , the medical information management program, and the program for the terminal device, the medical management information is efficiently considered in consideration of the relationship between medical practices in medical information management. Can support the construction and management of

The medical information management system according to claim 1 of the present invention is a medical information management system that manages input medical practice information on a time axis. The medical practice which memorizes beforehand the information which shows the other medical practice which has a period contrary to the own medical practice, and linkage information including the information of the contradictory period with respect to the execution time of the own medical practice as medical practice information An information storage means, a medical practice information acquisition means for obtaining desired medical practice information from the medical practice information stored in the medical practice information storage means, and a time axis when creating a treatment plan for a patient The execution time of the medical action corresponding to the medical action information acquired by the display means and the medical action information acquisition means is indicated on the time axis displayed by the display means. Thus, when the medical practice information is input to the treatment plan by the medical practice information input means and the medical practice information input means for inputting the medical practice information to the treatment plan, the input medical practice information is It is determined whether the medical practice information of another medical practice that contradicts the medical practice is already input to the treatment plan based on the linkage information that is included, and the other medical practice information already input to the treatment plan is The input information judging means for judging whether the medical action of the inputted medical practice information is contrary to the medical practice of the other medical practice information based on the linkage information, and the input information judging means Based on the linkage information included in the medical practice information, the medical practice information of another medical practice that contradicts the medical practice is already included in the treatment plan. The medical action of the inputted medical practice information is based on the linkage information included in the other medical practice information already determined to be input or already entered in the treatment plan. Warning information output means for causing the display means to output warning information that warns that the inputted medical practice information contradicts the already inputted other medical practice information when it is determined to contradict the action. It is characterized by that.

Further, according to claim 2 in the medical information management system of claim 1, the self-action information of the medical practice information stored in the medical practice information storage means further comprise a proper range of the numerical values used in the medical practice, When the medical practice information is input by the medical practice information input means, the input information determination means obtains a numerical value used for the medical practice information of the medical practice information from the outside, and the obtained numeric value is the medical practice information of the medical practice information It is further determined whether or not the numerical value included in the self-action information is within an appropriate range, and the warning information output unit determines that the input numerical value is not within the appropriate range in the input information determination unit. In some cases, warning information is output based on this determination.

Further, according to a third aspect of the present invention, in the medical information management system according to the first or second aspect, the medical practice information stored in the medical practice information storage means is a process when a plurality of judgment processes are performed in the input information judgment means It further has order and processing condition information, and the input information judging means executes judgment processing based on the processing order and processing condition information of the judgment processing included in the inputted medical practice information. To do.

In addition, the terminal device according to claim 4 includes, for each medical practice, self-actual information related to its own medical practice, information indicating another medical practice having a period contrary to the own medical practice, and its own medical care. In a terminal device connected via a network to a medical information management center device that stores in advance the linkage information including information on the contradictory period with respect to the execution time of an action, as a medical action information, when creating a treatment plan for a patient, Acquired by the medical practice information acquisition means for acquiring desired medical practice information, the display means for displaying the time axis, and the medical practice information acquisition means from the medical practice information stored in the medical information management center device. The medical practice information corresponding to the medical practice information is indicated on the time axis displayed on the display means, so that the medical practice information is displayed in advance. When the medical practice information is input to the treatment plan by the medical practice information input means and the medical practice information input means, the medical practice information is input based on the linkage information of the inputted medical practice information. It is determined whether the medical practice information of another medical practice that contradicts the medical plan has already been input to the treatment plan, and is input based on the linkage information included in the other medical practice information already input to the treatment plan. Input information determining means for determining whether the medical action of the medical action information contradicts the medical action of the other medical action information, and in the input information determining means, the linkage information included in the input medical action information Whether it is determined that medical practice information of another medical practice contrary to the medical practice has already been entered in the treatment plan When it is determined that the medical practice of the inputted medical practice information is contrary to the medical practice of the other medical practice information based on the linkage information included in the other medical practice information already entered in the treatment plan, Warning information output means for causing the display means to output warning information that warns that the inputted medical practice information contradicts the already inputted other medical practice information.

Further, according to claim 5, in the terminal device according to claim 4, the self-action information of the medical action information stored in the medical information management center apparatus further includes an appropriate range of numerical values used for the medical action, and the input When the medical practice information is input by the medical practice information input means, the information determining means obtains a numerical value used for the medical practice of the medical practice information from the outside, and the obtained numeric value is the self-act of the medical practice information. Further determining whether or not the numerical value included in the information is within an appropriate range, and when the warning information output means determines that the input numerical value is not within the appropriate range in the input information determination means, Warning information is output based on this determination.

According to a sixth aspect of the present invention, in the terminal device according to the fourth or fifth aspect, the medical practice information stored in the medical information management center device includes a processing order when a plurality of determination processes are performed in the input information determination unit, and The information processing unit further includes processing condition information, and the input information determination unit executes the determination process based on the processing order and processing condition information included in the input medical practice information.

In addition, the medical information management program according to claim 7 , in the medical information management system, for each medical practice, self-actual information related to own medical practice and another medical practice having a period contrary to the medical practice. And a function of storing linkage information including information on the contradictory period with respect to the execution time of the own medical practice as medical practice information, and the stored medical practice information when creating a treatment plan for a patient A function for acquiring desired medical practice information, a function for displaying a time axis, and an execution time point of the medical practice corresponding to the acquired medical practice information is indicated on the displayed time axis. The function of inputting the medical practice information into the treatment plan, and when the medical practice information is inputted, the linkage information that the inputted medical practice information has It is determined whether the medical practice information of another medical practice contrary to the medical practice is already input to the treatment plan based on the linkage information included in the other medical practice information already input to the treatment plan Based on the linkage information of the inputted medical practice information and the function of judging whether the medical practice of the inputted medical practice information is contrary to the medical practice of the other medical practice information It is determined that medical action information of another medical action contrary to the above is already input to the treatment plan, or the input is based on linkage information included in the other medical action information already input to the treatment plan. When it is determined that the medical practice of the received medical practice information is contrary to the medical practice of the other medical practice information, the input medical practice information Characterized in that to perform the function of outputting the warning information warning that contradictory to other medical practice information which the already entered.

In addition, the terminal device program according to claim 8 includes: self-acting information related to own medical practice for each medical practice; information indicating other medical practice having a period contrary to the own medical practice; When creating a treatment plan for a patient, a terminal device connected via a network to a medical information management center device that stores in advance, as medical practice information, linkage information including information on the contradictory period with respect to the execution time of the medical practice A function for acquiring desired medical practice information from the medical information management center device, a function for displaying a time axis, and a time axis for displaying the execution time of the medical practice corresponding to the acquired medical practice information. By being instructed above, when the medical practice information is input to the treatment plan and the medical practice information is input, Based on the linkage information included in the information, it is determined whether the medical practice information of another medical practice that contradicts the medical practice is already input to the treatment plan, and other medical treatments that are already input to the treatment plan A function for determining whether a medical practice of the inputted medical practice information is contrary to a medical practice of the other medical practice information based on linkage information included in the behavior information, and a linkage included in the inputted medical practice information Based on the information, it is determined that the medical practice information of another medical practice that contradicts the medical practice is already input to the treatment plan, or the other medical practice information already input to the treatment plan has When it is determined that the medical practice of the entered medical practice information is contrary to the medical practice of the other medical practice information based on the linkage information , Characterized in that to perform the function of outputting the warning information medical practice information the input to warn that contradictory to other medical practice information which the already entered.

Further, claim 9 is the terminal device program according to claim 8, wherein the self-action information of the medical action information stored in the medical information management center apparatus further includes an appropriate range of numerical values used for the medical action, When inputting medical practice information, the value used for the medical practice of the medical practice information is acquired from the outside, and the obtained numeric value is within the appropriate range of the numeric value included in the self-actual information of the medical practice information And a function of outputting warning information based on this determination when it is determined that the input numerical value is not within the appropriate range.

Further, in the terminal device program according to claim 8 or 9, the medical practice information stored in the medical information management center device is information on a processing order and processing conditions when a plurality of the determination processes are performed. And having a function of executing determination processing based on information on processing order and processing conditions of determination processing included in the inputted medical practice information.

In order to further input this COA (A) treatment plan into the electronic medical chart (“YES” in S10), the process returns to step S4, and the information on the COA (A-1) on the electronic medical chart already input by the operation of the doctor is displayed. by being copied is information acquisition of COA (a) (S4), the corresponding input on the treatment execution time on the time axis is indicated and displayed on the display unit 25 (S5). This instructed information is assumed to be COA (A-2).

The medical information management system according to claim 1 of the present invention is a medical information management system that manages input medical practice information on a time axis. The medical practice which memorizes beforehand the information which shows the other medical practice which has a period contrary to the own medical practice, and linkage information including the information of the contradictory period with respect to the execution time of the own medical practice as medical practice information An information storage means, a medical practice information acquisition means for obtaining desired medical practice information from the medical practice information stored in the medical practice information storage means, and a time axis when creating a treatment plan for a patient The execution time of the medical action corresponding to the medical action information acquired by the display means and the medical action information acquisition means is indicated on the time axis displayed by the display means. By that, the medical practice information input means for inputting the medical care data in the treatment plan, the if the medical practice information by a medical practice information input means to the treatment plan is input, the medical practice information which is the input Based on the linkage information possessed by the medical information, it is determined whether the medical practice information of another medical practice that contradicts the medical practice is already input to the treatment plan, and the other medical practice information already input to the treatment plan Input information determining means for determining whether the medical action of the input medical action information is contrary to the medical action of the other medical action information based on linkage information possessed by the input information determining means, Based on the linkage information included in the medical practice information, the medical practice information of other medical practices that contradicts the medical practice is included in the treatment plan. It is determined that the medical action of the inputted medical practice information is based on the linkage information of the other medical practice information already entered in the treatment plan. Warning information output means for causing the display means to output warning information that warns that the inputted medical practice information contradicts the already inputted other medical practice information when it is determined to be contrary to medical practice. It is characterized by providing.

In addition, the terminal device according to claim 4 includes, for each medical practice, self-actual information related to its own medical practice, information indicating another medical practice having a period contrary to the own medical practice, and its own medical care. In a terminal device connected via a network to a medical information management center device that stores in advance the linkage information including information on the contradictory period with respect to the execution time of an action, as a medical action information, when creating a treatment plan for a patient, Acquired by the medical practice information acquisition means for acquiring desired medical practice information, the display means for displaying the time axis, and the medical practice information acquisition means from the medical practice information stored in the medical information management center device. by the fact that the execution time of the medical care action corresponding Ru indicated on the time axis displayed on the display unit in the medical practice information, the medical practice information When the medical practice information is input to the treatment plan by the medical practice information input means and the medical practice information input means, the medical practice information is input based on the linkage information of the inputted medical practice information. It is determined whether medical action information of another medical action contrary to the action is already input to the treatment plan, and the input is performed based on linkage information included in the other medical action information already input to the treatment plan. Input information determining means for determining whether the medical action of the received medical action information is contrary to the medical action of the other medical action information; in the input information determining means, the linkage information included in the input medical action information Whether or not it is determined that medical practice information of another medical practice contrary to the medical practice has already been input to the treatment plan based on When it is determined that the medical practice of the inputted medical practice information is contrary to the medical practice of the other medical practice information based on the linkage information included in the other medical practice information already entered in the treatment plan And warning information output means for causing the display means to output warning information for warning that the inputted medical practice information contradicts the already inputted other medical practice information.

In addition, the medical information management program according to claim 7, in the medical information management system, for each medical practice, self-actual information related to own medical practice and another medical practice having a period contrary to the medical practice. And a function of storing linkage information including information on the contradictory period with respect to the execution time of the own medical practice as medical practice information, and the stored medical practice information when creating a treatment plan for a patient from among the functions of acquiring the desired medical practice information, and displaying the time axis, time of execution medical care action corresponding to the acquired medical practice information is Ru is indicated on the display time axis Thus, when the medical practice information is input to the treatment plan and the medical practice information is input, the linkage information included in the input medical practice information is included. Based on the above, it is determined whether the medical practice information of another medical practice that contradicts the medical practice is already input to the treatment plan, and the linkage information included in the other medical practice information already input to the treatment plan Based on the linkage information of the inputted medical practice information and the function of determining whether the medical practice of the inputted medical practice information is contrary to the medical practice of the other medical practice information It is determined that medical action information of another medical action contrary to the action has already been input to the treatment plan, or based on linkage information included in other medical action information already input to the treatment plan When it is determined that the medical practice of the entered medical practice information is contrary to the medical practice of the other medical practice information, the entered medical practice information There wherein the executing the function of outputting the warning information warning that contradictory to other medical practice information which the already entered.

In addition, the terminal device program according to claim 8 includes: self-acting information related to own medical practice for each medical practice; information indicating other medical practice having a period contrary to the own medical practice; When creating a treatment plan for a patient, a terminal device connected via a network to a medical information management center device that stores in advance, as medical practice information, linkage information including information on the contradictory period with respect to the execution time of the medical practice A function for acquiring desired medical practice information from the medical information management center device, a function for displaying a time axis, and a time axis for displaying the execution time of the medical practice corresponding to the acquired medical practice information. by that will be indicated above, a function of inputting the medical care data in the treatment plan, if the medical practice information has been entered the input medical Based on the linkage information included in the action information, it is determined whether the medical action information of another medical action contrary to the medical action is already input to the treatment plan, and other medical treatments already input to the treatment plan A function for determining whether a medical practice of the inputted medical practice information is contrary to a medical practice of the other medical practice information based on linkage information included in the behavior information, and a linkage included in the inputted medical practice information Based on the information, it is determined that the medical practice information of another medical practice that contradicts the medical practice is already input to the treatment plan, or the other medical practice information already input to the treatment plan has When it is determined that the medical practice of the entered medical practice information is contrary to the medical practice of the other medical practice information based on the linkage information It is characterized in that to perform the function of outputting the warning information medical practice information the input to warn that contradictory to other medical practice information which the already entered.

Claims (22)

In a project management system that manages information on actions performed in a project on a time axis,
An action information storage unit configured to record a plurality of action information including at least linkage information including application conditions for relevance between the own action and another action for each of the executed actions;
An action information acquisition unit configured to acquire selected action information from among the plurality of action information stored in the action information storage unit;
Action information arrangement unit configured to arrange the action information acquired by the action information acquisition unit on the time axis information based on an instruction from the outside, having time axis information,
Action information detection configured to mutually detect other action information to which the linkage information included in the action information is applied between the action information arranged on the time axis information by the action information arrangement unit. And
An output information generation unit configured to generate output information based on a result of detection processing performed in the action information detection unit;
A project management system characterized by comprising: In the project management system according to claim 1,
The action information stored in the action information storage unit includes self-action characteristic information including information on the characteristics of the action itself, and self-action including application conditions for performing processing based on the self-action characteristic information. Further including self-action information composed of logical information,
The output information generation unit generates output information based on the self-action characteristic information when an application condition of the self-action logic information of the action information arranged on the time axis information is applied. A featured project management system. In the project management system according to claim 1 or 2,
The action information stored in the action information storage unit further includes generation process control information for controlling a generation process order and generation process conditions when the output information is generated in the output information generation unit,
The output information processing unit performs the generation processing in a generation processing order and a generation processing condition controlled based on the generation processing control information. In the project management system according to any one of claims 1 to 3,
The content of the output information generation process in the output information processing unit is at least one of addition of information of other actions, deletion of information of actions already arranged, generation of warning information, or generation of a related information browsing screen A project management system characterized by including: In the project management system according to any one of claims 1 to 4,
The act executed in the project is at least one of a medical act, a personnel management act, a necessary goods procurement act, and an accounting implementation act. In the project management center device that manages information related to actions performed in the project,
An action information storage unit configured to record a plurality of action information including at least linkage information including application conditions for relevance between the own action and another action for each of the executed actions;
A project information recording unit configured to record the project information created by arranging the action information on time axis information;
Project management center device characterized by that. In the project management center apparatus according to claim 6,
The action information stored in the action information storage unit is configured with self-act characteristic information composed of information on the characteristics of the act itself, and application conditions for performing processing generated based on the self-act characteristic information. Including self-action information consisting of self-action logic information to be
Project management center device characterized by that. In the project management center apparatus according to claim 6,
The action information stored in the action information storage unit is an output generated based on a result of detecting other action information to which the linkage information is applied between the action information arranged in the time axis information. A plurality of information including at least one of information and output information generated based on the self-action characteristic information when an application condition of the self-action logic information of the action information arranged in the time axis information is applied A project management center device further comprising generation processing control information for controlling the generation processing order and generation processing conditions of output information. In a terminal device used by a user, connected via a network to a project management center device that manages project information related to actions executed in the project,
From among a plurality of action information including at least linkage information recorded in the project management center device, which includes application conditions for relevance between the own action and other actions for each executed action An action information acquisition unit configured to acquire selected action information via the network;
Action information arrangement unit configured to arrange the action information acquired by the action information acquisition unit on the time axis information based on an instruction from the outside, having time axis information,
Action information detection configured to mutually detect other action information to which the linkage information included in the action information is applied between the action information arranged on the time axis information by the action information arrangement unit. And
An output information generation unit configured to generate output information based on a result of detection processing performed in the action information detection unit;
The terminal device characterized by having. The terminal device according to claim 9,
The action information acquired by the action information acquisition unit is composed of self-action characteristic information composed of information on the characteristics of the action itself, and application conditions for performing processing generated based on the self-action characteristic information. Further including self-action information consisting of
The output information generation unit generates output information based on the self-action characteristic information when an application condition of the self-action logic information of the action information arranged on the time axis information is applied. Characteristic terminal device. The terminal device according to claim 9 or 10,
The action information acquired by the action information acquisition unit further includes generation process control information for controlling a generation process order and generation process conditions when output information is generated in the output information generation unit,
The output information generation unit performs the generation process in a generation process order and a generation process condition controlled based on the generation process control information. The terminal device according to any one of claims 9 to 11,
The content of the output information generation process in the output information generation unit is at least one of addition of information on other actions, deletion of information on actions already arranged, generation of warning information, or generation of a related information browsing screen The terminal device characterized by including. The terminal device according to any one of claims 9 to 12,
The terminal device characterized by including at least one information of a medical action, a personnel management action, a necessary goods procurement action, or an accounting implementation action as an action executed in the project. The terminal device according to any one of claims 9 to 13,
The terminal device further comprising: a temporary storage unit configured to store project information configured by arranging the action information on the time axis information. In the project management center device that manages project information related to actions performed in the project,
An action information storage function for recording a plurality of action information including at least linkage information constituted by application conditions for relevance between the own action and other actions for each of the executed actions;
A project management center apparatus program for realizing a project recording function for recording the project information created by arranging the action information on a time axis. To a terminal device used by a user, connected via a network to a project management center device that manages information on actions performed in a project,
From among a plurality of action information including at least linkage information recorded in the project management center device, which includes application conditions for relevance between the own action and other actions for each executed action An action information acquisition function for acquiring the selected action information via the network;
Action information arrangement function that has time axis information and arranges the action information acquired by the action information acquisition function on the time axis information based on an instruction from the outside,
An action information detection function for mutually detecting other action information to which the linkage information included in the action information is applied, between the action information arranged on the time axis information by the information arrangement function;
An output information generation function for generating output information based on a result of detection processing performed by the action information detection function;
A program for a terminal device for realizing the above. The terminal device program according to claim 16,
The action information acquired by the action information acquisition function is composed of self-action characteristic information composed of information on the characteristics of the action itself, and application conditions for performing processing generated based on the self-action characteristic information. Further including self-action information consisting of
The output information generation function generates output information based on the self-action characteristic information when an application condition of the self-action logic information of the action information arranged on the time axis information is applied. A terminal device program. The terminal device program according to claim 16 or 17,
The action information acquired by the action information acquisition function further includes generation process control information for controlling a generation process order and generation process conditions when output information is generated by the output information generation function,
The output information processing unit performs the generation process in a generation process order and a generation process condition controlled based on the generation process control information. The terminal device program according to any one of claims 16 to 18,
The content of the output information generation process by the output information generation function is at least one of addition of information of other actions, deletion of information of actions already arranged, generation of warning information, or generation of a related information browsing screen A program for a terminal device, comprising: The terminal device program according to any one of claims 16 to 19,
The terminal device program characterized by including at least one information of medical action, personnel management action, necessary goods procurement action, or accounting implementation action as an action executed in the project. In the terminal device program according to any one of claims 16 to 20,
The terminal device program further comprising a temporary storage function for storing project information generated by arranging the action information on the time axis information. In an electronic medical record management system that manages information related to medical practice on a time axis,
A medical practice information storage unit configured to record a plurality of medical practice information including at least linkage information configured with application conditions for relevance between own medical practice and another medical practice for each medical practice. When,
A medical practice information acquisition unit configured to acquire selected medical practice information from the plurality of medical practice information stored in the medical practice information storage unit;
A medical practice placement unit configured to place the medical practice information acquired by the medical practice information acquisition unit on the time base information based on an instruction from the outside, having time axis information;
The medical practice placement unit is configured to mutually detect other medical practice information to which the linkage information included in the medical practice information is applied, between the medical practice information arranged on the time axis information. A medical practice information detection unit;
An output information generation unit configured to generate output information based on a result of detection processing performed in the medical practice information detection unit;
An electronic medical record management system characterized by comprising:

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